title: Endograft-assisted coil embolization of a celiac trunk aneurysm.
abstract: BACKGROUND
  Celiac trunk aneurysms are rare but potential life-threatening lesions. Endovascular techniques are more often used for their treatment because of low rates of morbidity and mortality.
  
  
  METHODS
  We describe a modification of stent-assisted coil embolization technique more commonly used in the treatment of intracranial aneurysm, to exclude a 50-mm diameter celiac trunk aneurysm. The patient was a 67-year-old man who had a previous exclusion of a symptomatic aortic aneurysm, with occlusion of the inferior mesenteric and both hypogastric arteries. Anatomic features of the celiac trunk aneurysm and its branches do not allow treatment with a straight endograft or maintain direct flow to the hepatic artery. We then performed an endograft-assisted coil embolization of the aneurysm, with a straight flow line to the splenic artery.
  
  
  CONCLUSIONS
  Endograft-assisted coil embolization is a feasible and safe technique to allow selective embolization of the sac and the presence of direct flow to the splenic artery and indirect flow to the hepatic artery.
authors.affiliation: Hospital Universitario Dr. Peset and Hospital NISA 9 de Octubre, Valencia, Spain. Electronic address: plaza_ang@gva.es.
authors.forename: Ángel
authors.initials: Á
authors.lastname: Plaza-Martínez
authors.affiliation: Hospital Universitario Dr. Peset and Hospital NISA 9 de Octubre, Valencia, Spain.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Genovés-Gascó
authors.affiliation: Hospital Universitario Dr. Peset and Hospital NISA 9 de Octubre, Valencia, Spain.
authors.forename: Diana
authors.initials: D
authors.lastname: Cester-Ves
authors.affiliation: Hospital Universitario Dr. Peset and Hospital NISA 9 de Octubre, Valencia, Spain.
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: Gómez-Palonés
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D006499:Hepatic Artery / Q000503:physiopathology; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012039:Regional Blood Flow; D013152:Splanchnic Circulation; D013157:Splenic Artery / Q000503:physiopathology; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome